A novel training model for the loop electrosurgical excision procedure: an innovative replica helped workshop participants improve their LEEP

American Journal of Obstetrics and Gynecology
Lukas HeflerStephan Polterauer

Abstract

We wanted to evaluate the feasibility and effect of a hands-on loop electrosurgical excision procedure (LEEP) 2.5-day intensive surgical skills workshop, using a novel training model on porcine tissue. Hands-on simulation-based training was conducted to emphasize colposcopy, local anesthesia, uterine cervix and vulva punch biopsy, LEEP, and complication management. Performance of 51 participants' technical skills was assessed before and after training completion. LEEP performance was significantly better after completion of the training (P < .001). Before and after training mean scores (SD) of 18.0 (3.5) and 23.4 (2.1) were assessed. Multivariate analysis revealed that the training effects were independent of previous surgical expertise. The LEEP workshop was feasible and effective and we recommend implementing hands-on LEEP training into gynecology training programs.

References

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Citations

Oct 10, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Bernd BuerkleClemens B Tempfer
Mar 28, 2013·Wiener klinische Wochenschrift·Christoph Grimm
Jun 21, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ferizan AliciClemens B Tempfer
Dec 23, 2017·Journal of Lower Genital Tract Disease·Stephanie A SullivanLisa Rahangdale
Dec 15, 2017·Global Spine Journal·Barrett S BoodyWellington K Hsu
Oct 31, 2018·Journal of Lower Genital Tract Disease·Erin WilsonMichael Beckmann
Jan 23, 2016·Journal of Lower Genital Tract Disease·Ziad HilalClemens B Tempfer
Jun 14, 2017·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Erin B WilsonSarah Janssens
Apr 1, 2018·Archives of Gynecology and Obstetrics·Eliana MontanariHeinrich Husslein

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